SOUTHERN ADVENTURES NPI 1699045971

NPI Information

  • NPI: 1699045971
  • Provider Name: SOUTHERN ADVENTURES
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: THE MEDICINE SHOPPE 1975
  • CLIA Number: 39D2051245
  • Address: 16332 CONNEAUT LAKE RD
    MEADVILLE, PA
    ZIP 16335
  • Phone: (814) 333-1121

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NPI Details

SOUTHERN ADVENTURES is a pharmacy in Meadville, PA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTHERN ADVENTURES NPI is 1699045971. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Shoppe 1975.

The provider's business location address is:

16332 CONNEAUT LAKE RD
MEADVILLE, PA
ZIP 16335-843
Phone: (814) 333-1121
Fax: (814) 337-7990

The provider's authorized official is Rebecca Ann Bercis .
The authorized official title is Pharmacy Manager and has the following contact phone number (814) 333-1121.

The CLIA number assigned to this NPI record is 39D2051245 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 12/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPP482201PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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